FTP5.2 Functional deficits in older patients undergoing major gastrointestinal surgery

Abstract Aim Gastrointestinal surgeons face an increasingly complex patient population. Patients are older, often with co-morbidities, frailty, nutritional, functional, and cognitive impairments. The aim of this study was to compare functional outcomes a cohort older patients following emergency elective major gastrointestinal surgery. Methods A prospective in 3 NHS trusts performed (NCT04545125). Baseline comprehensive assessment including quality life, physical activity levels, status performed. Functional (WHODAS v2, & Activities Daily living questionnaire) life (EQ-5D-5L) were assessed at baseline, 6 weeks, months, months Results Ninety-eight recruited; median age 74 years, 56% male. Eighty-two underwent surgery 16 At 13.9% vs 68.8% considered vulnerable or frail on frailty testing; 35.9% 62.5% identified as malnourished risk malnutrition. Emergency had lower Independent Living score versus 8 (p=0.007). compared elective; 1,386 3,882 MET minutes per week (p=0.06). appeared recover by three however baseline persisted over follow-up. Conclusion High levels nutritional deficits found study. Whilst appear within have persistent capacity life.